剖宫产术后镇痛对母乳喂养的影响研究(1)
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[摘要] 目的 探讨剖宫产术后镇痛效果及对母乳喂养的影响。 方法 选择本院2010年6月～2011年9月收治的剖宫产妇116例随机分为两组，观察组采用自控镇痛泵(PCA)镇痛，对照组采用传统方法镇痛，比较两组术后的镇痛效果、母乳喂养情况。 结果 观察组8、24、48 h的镇痛有效率明显高于对照组(P < 0.05)；出乳时间较对照组短，24 h哺乳次数明显多于对照组(P < 0.05)。 结论 剖宫产术后使用自控镇痛泵(PCA)，能够有效缓解产妇疼痛，能促进泌乳和胃肠功能恢复，掌握母乳喂养方法，有助于母乳喂养。
[关键词] 剖宫产；镇痛；母乳喂养；影响
[中图分类号] R614 [文献标识码] A [文章编号] 1674-4721(2012)02(a)-0083-02
Impact study after cesarean section to the breastfeeding analgesia
ZHANG Hongying
The People′s Hospital of Rucheng County in Hunan Province, Rucheng 424100, China
[Abstract] Objective To study the analgesic effect of cesarean section and the effect on the breastfeeding. Methods One hundred and sixteen cases with cesarean section were randomly divided into observation group and control group from June 2010 to September 2011 in our hospital, and each group had 58 cases. The observation group was given controlled analgesia pump (PCA) for analgesia while the control group was received traditional analgesia method. The analgesia effect and breastfeeding situation were compared between the two groups. Results The analgesic efficient of 8 , 24 , 48 hours in the observation group were significantly higher than the control group (P < 0.05); The breast milk appearing time was shorter than the control group, 24 hours of lactation numbers were significantly more than the control group (P < 0.05). Conclusion The using of controlled analgesia pump (PCA) after cesarean section can effectively relieve maternal pain, promote lactation and recovery of gastrointestinal function, grasp the breastfeeding method, and it can help to use breastfeeding.
[Key words] Cesarean section; Analgesia; Breastfeeding; Influence
近年来，剖宫产率正在呈逐年上升的趋势，是解决产妇自然分娩困难的一种较为安全的手段。剖宫产术后切口疼痛常使产妇产生不安、焦虑情绪，进食少，活动不便等，严重影响了产妇的休息和睡眠，从而阻碍了产妇的早期活动及按需哺乳[1]。产后疼痛主要来自切口及子宫收缩，因此对于产后镇痛的研究越来越受人们的关注。传统的剖宫产镇痛方法主要是肌内注射持续时间短，效果不理想[2]。本院对剖宫产术后采用镇痛泵技术，取得满意效果。现报道如下：
1 资料与方法
1.1 一般资料
所选对象为本院2010 年6月～2011年6 月行剖宫产术产妇116例，年龄22～35 岁； 孕期为35～42周。产妇无其他严重产后综合征，胎儿均比较正常。产妇自身无乳房发育缺陷及内分泌疾病，无麻醉药过敏史和成瘾史。将所有产妇随机分为观察组58例和对照组58例。两组剖宫产过程均比较顺利，无病理妊娠及分娩期并发症，产妇无母乳喂养禁忌证与新生儿窒息。两组产妇的年龄、孕周、术后护理和健康教育差异无统计学意义(P > 0.05)，具有可比性。
1.2 方法
两组均采用腰-硬联合麻醉的方式进行剖宫产术 ......
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